Lights at Lafarge 2025

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your RSVP!
WHEN: Sunday, December 7th
3:30pm-5:00pm

Meet at the Rotary Centennial Sand Volleyball Courts (6) at Lafarge Lake, Coquitlam.

If you have any questions or concerns, please email catherine@bchandsandvoices.com

Thanks and see you then!

Email *

Your full name *

Age of your dhh child? *

How many people in total will attend? *

We are collecting the following information to better understand our community's demographics and improve our services. Your participation in providing this information will help us enhance our efforts to serve you and others in our community more effectively.

Participation is voluntary and confidential.

What is your role in supporting families?

Family of a person who is DHH

D/HH adult

Early Intervention Provider

Medical Service Provider (ENT, Physician, Nurse, Audiologist, Hospital Staff)

Advocacy Group

Family Based Organization

Student

Educator

Other:

How do you identify your place of residence? (chose one)

Urban (living in the center of cities and towns - heavily built up - highly populated)

Suburban (residential areas outside the center of cities or towns - larger than Rural)

Rural (living outside cities and towns - least populated)

Prefer not to answer

I identify As: (select all that apply)

Asian or Asian Canadian

Black or African Canadian

First Nation

Hispanic - Latino or Spanish origin

Middle Eastern or North African

Pacific Islander

White

Prefer not to answer

Not listed here or prefer to self-describe:

Other:

What language(s) are used in your home (Check all that apply)

Arabic

ASL

Cantonese

English

French

Hindi

Korean

Mandarin

Spanish

Other or prefer to describe (below)

Do you have any questions or comments?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of BC Hands & Voices.

Does this form look suspicious? Report

Forms